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1093345159
ASHLEY BENNETT DDS, LLC
PORTLAND, OR
NPI
1093345159
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Entity Type
Organization
Authorized Contact
ASHLEY N BENNETT
Owning Dentist
503-292-8996
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2020-01-17
Last Update Date
2020-01-17
Business Address
ASHLEY BENNETT DDS, LLC
5415 SW WESTGATE DR STE 202
PORTLAND, OR 97221-2429
Phone number: 503-292-8996
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Mailing Address
ASHLEY BENNETT DDS, LLC
12241 SW 13TH CT
PORTLAND, OR 97219-9641
Phone number: 925-234-3519
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